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CERTIFICATE OF SATISFACTORY COMP TION <br /> MARION COUNTY <br /> COMMUNITY DEVELOPMENT DEP.~ENT <br /> <br />BUILDING INSPECTIO~[~'t~ ~ION <br />220 H IG~H~['~ ET _N~ <br /> SALF. M~EGON 973C 1 <br /> <br />OWNER: <br />ADDRESS: <br />INSTALLER: <br /> <br />ON-SITE SEWAGE SYSTEM INSTALLATION INSPECTION <br /> SITE NO. ' <br /> <br />SEPTIC TANK; <br /> NO. GALLONS: <br /> MATERIAL: <br /> MANUFACTURER: / <br /> <br />BUILDING SEWER MAT'L: <br /> <br />PERMIT NO. <br />DISPOSAL FIELD: <br /> TOTAL LENGTH: <br /> PIPE MAT'L: <br /> TRENCH DEPTH: <br /> ROCK DEPTH: <br /> DIST. TO WELL: <br /> <br />EFFLUENT SEWER MAT'L: ...,-~- <br />COMMENTS: <br /> <br /> BOXES; <br />~ 'eD-r'rc~J~ <br /> <br />In accordance with Oregon Revised Statute 454,665; this certificate is issued as evidence of satisfactory <br />c°mpleti°n °f a subsur~¢ a~r~/t~e ~ge disp°sa' system at the ab°ye '°cati°n' <br />INSPECTED BY: ~/~-~¢~-~., ~'~/(¢'~ DATE: lO ~ S~] -~'~ <br /> TITLE:' <br />MO 15-~6 ROy, 12/92 <br /> <br /> <br />